Risiko dan Deteksi Dini Kanker Payudara

Authors

  • Yuliana Dokter Umum, Balikpapan, Indonesia

DOI:

https://doi.org/10.55175/cdk.v45i2.830

Keywords:

Deteksi dini, kanker payudara, skrining

Abstract

Kanker payudara merupakan salah satu penyebab kematian karena kanker yang utama. Deteksi dini bertujuan untuk menemukan dan mendiagnosis penyakit lebih awal yang penting untuk prognosis, meliputi pemeriksaan mammografi berkala (tiap 1-2 tahun), dan pemeriksaan payudara klinis dan sendiri. Kontroversi dari berbagai kalangan medis muncul terkait usia dimulainya skrining, namun semua sepakat bahwa manfaat skrining berbanding lurus dengan bertambahnya usia, dan keputusan untuk memulai skrining haruslah berdasarkan diskusi manfaat dan potensi bahaya antara pasien dan dokter. Panduan Nasional Penanganan Kanker Payudara versi 1.0 2015 menuliskan pentingnya upaya pencegahan, yang dilakukan dengan CERDIK. CERDIK adalah kependekan dari Cek kesehatan secara teratur, Enyahkan asap rokok, Rajin aktivitas fisik, Diet sehat dengan kalori seimbang, Istirahat cukup, Kelola stres.

 

Breast cancer has been the major cause of death from cancer. Early detection aiming to find and diagnose the disease earlier which is important for patient prognosis, refers to routine mammography (annual or biennial), and routine breast clinical and self examination. Controversions relating when women should start the screening come from many medical societies, but they agree, that the benefits of screening increase with age and the informed decision should be made based on the doctor and patient’s discussion. The National Guidelines of Breat Cancer Management version 1.0 2015 emphasizes the importance of a preventive method, “CERDIK”: a routine health check up, eliminating cigarette smoke, routine exercise/physical activities, maintaining healthy diet, adequate rest, stress management.

Downloads

Download data is not yet available.

References

Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D. Global cancer statistics. CA Cancer J Clin. 2011;61:69-90.

Jemal A, Center MM, DeSantis C, Ward EM. Global patterns of cancer incidence and mortality rates and trends. Cancer Epidemiol Biomarkers Prev. 2010;19:1893-907.

Tjindarbumi D, Mangunkusumo R. Cancer in Indonesia, present and future. Jpn J Clin Oncol. 2002;32(Suppl 1):17-21.

GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012. International Agency for Research on Cancer [Internet]. 2016 [cited 2016 May 27]. Available from: http://globocan.iarc.fr/Pages/fact_sheets_population.aspx

American Cancer Society. Breast cancer [Internet]. 2016 Feb 22 [cited 2016 May 27]. Available from: http://www.cancer.org/acs/groups/cid/documents/webcontent/003090-pdf.pdf

Oeffinger KC, Fontham ETH, Etzioni R, Herzig A, Michaelson JS, Shih YCT, et al. Breast cancer screening for women at average risk 2015 guideline update from the American Cancer Society. JAMA. 2015;314(15):1599-614.

International Agency for Research on Cancer. GLOBOCAN 2012: Estimated cancer incidence, mortality and prevalence worldwide in 2012. Prediction [Internet]. 2016 [cited 2016 May 26]. Available from: http://globocan.iarc.fr/old/burden.asp?selection_pop=90360&Text-p=Indonesia&selection_cancer=3152&Text-c=Breast&pYear=3&type=0&window=1&submit=%C2%A0Execute%C2%A0

American Cancer Society. Breast cancer prevention and early detection [Internet]. 2015 Oct 20 [cited 2016 May 27]. Available from: http://www.cancer.org/acs/groups/cid/documents/webcontent/003165-pdf.pdf

American Cancer Society. Breast cancer facts & figures 2015-2016 [Internet]. 2015 [cited 2016 May 27]. Available from: www.cancer.org/acs/groups/content/@research/documents/document/acspc-046381.pdf

Komite Nasional Penanggulangan Kanker. Panduan nasional penanganan kanker: Kanker payudara [Internet]. 2015 [cited 2016 May 30]. Available from: http://kanker.kemkes.go.id/guidelines/PPKPayudara.pdf

Kementerian Kesehatan. Program nasional gerakan pencegahan dan deteksi dini kanker leher rahim dan kanker payudara [Internet]. 2015 Apr 21 [cited 2016 May 30]. Available from: http://pptm.depkes.go.id/cms/frontend/ebook/Buku_Panduan_Pelaksanaan_IVA-SADANIS_2015.pdf

National Cancer Institute. BRCA1 and BRCA2: Cancer risk and genetic testing [Internet]. 2015 Apr 1 [cited 2016 June 22]. Available from: http://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet#q6

Cuzick J, Sestak I, Cawthorn S, Hamed H, Holli K, Howell A, et al. Tamoxifen for prevention of breast cancer: Extended long-term follow-up of the IBIS-I breast cancer prevention trial. Lancet Oncol. 2015;16:67-75.

National Cancer Institute. Psychological stress and cancer [Internet]. 2012 Dec 10 [cited 2016 June 3]. Available from: http://www.cancer.gov/about-cancer/coping/feelings/stress-fact-sheet

Cancer Research UK. About cancer: Stress [Internet]. 2016 May 12 [cited 2016 June 3]. Available from: http://www.cancerresearchuk.org/about-cancer/causes-ofcancer/cancer-controversies/stress

Antonova L, Aronson K, Mueller CR. Stress and breast cancer: From epidemiology to molecular biology. Breast Cancer Res. 2011;13:208.

Siu AL. Screening for breast cancer: U.S. Preventive services task force recommendation statement. Ann Intern Med. 2016;164:279-96.

U.S. Preventive Services Task Force. Screening for breast cancer: U.S. preventive services task force recommendation statement. Ann Intern Med. 2009;151:716-26.

Breast cancer screening: Benefits and harms. JAMA. 2014;312(23):2585.

Starting M. Mammography screening for breast cancer. N Engl J Med. 2012;367:31.

National Cancer Institute. Breast cancer screening (PDQ®)-Health professional version [Internet]. 2016 March 4 [cited 2016 May 27]. Available from: http://www.cancer.gov/types/breast/hp/breast-screening-pdq

Herschorn SD. Current controversies in screening mammography. Cancer Cytopthology 2014;122(8):559-60.

McTiernan A. Recent controversies in mammography screening for breast cancer. Medscape [Internet]. 2002 [cited 2016 May 31]. Available from: http://www.medscape.com/viewarticle/430076

The Breast Cancer Deadline. Mammography for breast cancer screening [Internet]. 2011 [cited 2016 May 31]. Available from: http://www.breastcancerdeadline2020.org/breast-cancer-information/breast-cancer-information-and-positions/mammography-for-breast-cancer.pdf

Downloads

Published

01-02-2018

How to Cite

Yuliana. (2018). Risiko dan Deteksi Dini Kanker Payudara. Cermin Dunia Kedokteran, 45(2), 144–149. https://doi.org/10.55175/cdk.v45i2.830

Issue

Section

Articles